title: Spontaneous resolution of ophthalmologic symptoms following bilateral traumatic carotid cavernous fistulae.
abstract: A 38-year-old woman developed bilateral carotid cavernous fistulae (CCF) following a motor vehicle collision. Her initial ophthalmologic findings included periorbital edema, palsies of the left oculomotor and abducens nerves, and residual dilated pupils. She subsequently developed significant optic disc edema and retinal vascular dilation bilaterally. Patients with similar injuries typically require neurosurgical or vascular intervention. In this case, the patient's signs resolved spontaneously by 21 months after onset, leaving no residual ocular deficits.
authors.affiliation: University of Central Florida College of Medicine, Orlando, Florida;
authors.forename: Briana C
authors.initials: BC
authors.lastname: Gapsis
authors.forename: Roshni U
authors.initials: RU
authors.lastname: Ranjit
authors.forename: Sharad
authors.initials: S
authors.lastname: Malavade
authors.forename: Andrew
authors.initials: A
authors.lastname: Carey
authors.forename: Reed
authors.initials: R
authors.lastname: Murtagh
authors.forename: Mitchell D
authors.initials: MD
authors.lastname: Drucker
authors.forename: Peter R
authors.initials: PR
authors.lastname: Pavan
mesh_terms: D020434:Abducens Nerve Diseases / Q000209:etiology*; D000063:Accidents, Traffic; D000328:Adult; D020216:Carotid-Cavernous Sinus Fistula / Q000150:complications*; D005260:Female; D006801:Humans; D015840:Oculomotor Nerve Diseases / Q000209:etiology*; D009901:Optic Nerve Diseases / Q000209:etiology*; D012075:Remission, Spontaneous; D012164:Retinal Diseases / Q000209:etiology*